Individual
ERIC ROBERT MONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
(248) 551-1554
Mailing address
101 CURRY AVE UNIT 518, ROYAL OAK, MI 48067-4233
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
4351044870
MI
Other
Enumeration date
06/12/2019
Last updated
06/12/2019
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